Take at least two readings, 1 or 2 minutes apart. 45. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2013. Self-measured blood pressure (SMBP) monitoring, the regular measurement of blood pressure (BP) by the patient at home, has been proposed as a means of improving treatment adherence and BP control. This website requires cookies, and the limited processing of your personal data in order to function. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Take this form [PDF 105 KB]with you on your first blood pressure visit to record important blood pressure-related information. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Tools to Establish a Self-Measured BP (SMBP) Monitoring Program [PDF 2 MB] Home BP monitoring (HBPM) has been utilized for regular monitoring of BP at home to improve HTN control or regulate antihypertensive medications. Clinic measurements may not reflect the usual BP outside of the clinic setting throughout a day. 2011 Aug 8. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Many things can affect a blood pressure reading, including: Its important to get an accurate blood pressure reading so that you have a clearer picture of your risk for heart disease and stroke. The choice of treatment is largely dependent on the cause of hypertension, severity of the condition, as well as the presence or absence of existing comorbid states. 45. Agency for Healthcare Research and Quality (US), Rockville (MD). For all comparisons, evidence for clinical outcomes was insufficient; for all other outcomes (surrogate and intermediate outcomes, and health care encounters) strength of evidence was low, thus failing to support a difference. include self-measured blood pressure monitoring (SMBP) plus additional clinical support and empowerment of non-physician clinicians (e.g. MeSH dabl Educational Trust: Sphygmomanometers for Self-measurement of Blood Pressure, British Hypertension Society: Blood Pressure Monitors Validated for Home Use, AHRQ Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. Thank you. Background: Ambulatory BP monitoring requires a technologist to program the machine, fit it on the patient, remove it and download the results and a physician to interpret them. To sign up for updates or to access your subscriberpreferences, please enter your contact information below. HHSA 290-2007-10055-I.) How to Measure Your Blood Pressure at Home [PDF 255 KB] [3] (Figure 1). Current insurance coverage for SMBP plus clinical support is limited and improvements are planned or are under way. In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. Very few trials evaluated objective clinical outcomes. 8. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. How do different devices for SMBP monitoring compare with each other (specifically semiautomatic or automatic versus manual) in their effects on clinical, surrogate, and intermediate outcomes (including SMBP monitoring adherence)? How does SMBP monitoring compare with usual care or other interventions without SMBP in its effect on relevant surrogate outcomes (cardiac measures: LVH [left ventricular hypertrophy], LVM [left ventricular mass], LVMI [left ventricular mass index]) and intermediate outcomes (BP control, BP treatment adherence, or health care process measures)? It has been the subject of a 2002 Evidence Practice Center (EPC) Evidence Report.25 A fuller description of ambulatory BP monitoring can be found there. PDF Background Effective Health Care Program - Agency for Healthcare